[Technical Field]
[0001] The present invention relates to a biomarker composition for diagnosing radiation-resistant
cancer comprising a phosphomevalonate kinase (PMVK) protein or a gene encoding the
same as an active ingredient, and a method of diagnosing radiation-resistant cancer
using the same. In addition, the present invention relates to a biomarker composition
for predicting prognosis of radiation therapy in a cancer patient comprising a PMVK
and a method of predicting prognosis of radiation therapy in a cancer patient using
the same.
[Background Art]
[0002] Cancer treatment methods include surgical surgery, chemical drug therapy and radiation
therapy and recently, the importance of radiation therapy has increased. In cases
where surgical surgery is difficult, cases have been reported to effectively cure
tumors only with radiation therapy, and methods of treating tumors using radiation
have been progressing over the years, and radiation therapy has established itself
as an efficient treatment of tumors in the body without special pain or refusal to
the patient.
[0003] However, acquisition of radiation resistance of cancer cells and damaging normal
tissues during high-dose radiation treatment have been pointed out as problems that
reduce the efficiency of radiation treatment, and thus, a study on radiation therapy
sensitizers to improve the efficiency of radiation treatment is necessary. The radiation
therapy sensitizers reported to date is mainly anticancer drugs, for example, taxol
and cisplatin have been reported to be used as a radiation therapy sensitizer in solid
cancers such as breast cancer, uterine cancer, lung cancer, stomach cancer and colon
cancer. However, these radiation treatment sensitizers themselves are substances used
as anticancer agents, and thus have high side effects to have a problem of their limited
use.
[0004] Therefore, beyond the limitations of these conventional radiation therapy sensitizers,
it is necessary to study molecular signals to increase the sensitivity to radiation-resistant
cells as well as to predict radiation therapy results.
[Disclosure]
[Technical Problem]
[0005] It is an object of the present invention is to provide a biomarker composition for
diagnosing radiation-resistant cancer comprising a PMVK as an active ingredient and
a composition for diagnosing radiation-resistant cancer comprising an agent capable
of measuring expression level of PMVK as an active ingredient.
[0006] It is another object of the present invention is to provide a biomarker composition
for predicting the prognosis of radiation therapy in a cancer patient comprising PMVK
as an active ingredient and a composition for predicting the prognosis of radiation
therapy in a cancer patient comprising an agent capable of measuring the expression
level of PMVK as an active ingredient.
[0007] It is another object of the present invention is to provide a pharmaceutical composition
for enhancing radiation sensitivity to cancer cells comprising a PMVK protein expression
inhibitor or activity inhibitor as an active ingredient.
[0008] It is another object of the present invention is to provide a method of diagnosing
radiation-resistant cancer using the expression and activity level of PMVK protein
and a method of predicting the prognosis of radiation therapy in a cancer patient.
[0009] It is another object of the present invention is to provide a method of screening
a radiation sensitivity enhancer for cancer cells by measuring the expression level
of a PMVK protein.
[0010] It is another object of the present invention is to provide a use of a PMVK protein
or a gene encoding the same, as a biomarker for diagnosing radiation-resistant cancer.
[0011] It is another object of the present invention is to provide a use of an agent capable
of measuring the expression level of PMVK for diagnosing radiation-resistant cancer.
[0012] It is another object of the present invention is to provide a use of a PMVK protein
or a gene encoding the same, as a biomarker for predicting the prognosis of radiation
therapy in a cancer patient.
[0013] It is another object of the present invention is to provide a use of an agent capable
of measuring the expression level of a PMVK for predicting the prognosis of radiation
therapy in a cancer patient.
[0014] It is another object of the present invention is to provide a use of a PMVK protein
expression or activity inhibitor for the manufacture of a medicament for enhancing
the radiation sensitivity to cancer cells.
[Technical Solution]
[0015] In order to achieve the above object, the present invention provides a biomarker
composition for diagnosing radiation-resistant cancer comprising a phosphomevalonate
kinase (PMVK) protein or a gene encoding the same as an active ingredient.
[0016] Also, the present invention provides a composition for diagnosing radiation-resistant
cancer comprising an agent capable of measuring expression level of PMVK as an active
ingredient and a kit for diagnosing radiation-resistant cancer comprising the same.
[0017] In order to achieve the another object, the present invention provides a biomarker
composition for predicting the prognosis of radiation therapy in a cancer patient
comprising a phosphomevalonate kinase (PMVK) protein or a gene encoding the same as
an active ingredient.
[0018] In addition, the present invention provides a composition for predicting the prognosis
of radiation therapy in a cancer patient comprising an agent capable of measuring
the expression level of PMVK as an active ingredient and a kit for predicting the
prognosis of radiation therapy in a cancer patient comprising the same.
[0019] In order to achieve the above another object, the present invention provides a pharmaceutical
composition for promoting the radiation sensitivity to cancer cells comprising a phosphomevalonate
kinase (PMVK) protein expression or activity inhibitor as an active ingredient.
[0020] In order to achieve the above another object, the present invention provides a method
of providing information necessary for diagnosing radiation-resistant cancer, the
method comprises: (1) measuring mRNA expression level of PMVK gene or expression level
of PMVK protein from a sample isolated from a cancer patient; (2) comparing the mRNA
expression level of the PMVK gene or the expression level of the PMVK protein with
a control sample; and (3) determining that it is radiation-resistant cancer when the
mRNA expression level of the PMVK gene or the expression level of the PMVK protein
is higher than that of the control sample.
[0021] Also, the present invention provides a method of providing information necessary
for predicting prognosis of radiation therapy in a cancer patient, the method comprises:
(1) measuring mRNA expression level of PMVK gene or expression level of PMVK protein
from a sample isolated from a cancer patient; (2) comparing the mRNA expression level
of the PMVK gene or the expression level of the PMVK protein with a control sample;
and (3) determining that the prognosis of radiation therapy is poor when the mRNA
expression level of the PMVK gene or the expression level of the PMVK protein is higher
than that of the control sample.
[0022] In order to achieve the above another object, the present invention provides a method
of screening a radiation sensitivity enhancer for cancer cells, the method comprises:
(1) contacting a cancer cell with a test substance; (2) measuring expression or activity
level of a PMVK protein in the cancer cells contacted with the test substance; and
(3) selecting a test substance having a reduced expression or activity level of the
PMVK protein compared to a control sample.
[0023] In addition, the present invention provides a use of a PMVK protein or a gene encoding
the same as a biomarker for diagnosing radiation-resistant cancer.
[0024] In addition, the present invention provides a use of an agent capable of measuring
the expression level of PMVK for diagnosing radiation-resistant cancer.
[0025] Furthermore, the present invention provides a use of a PMVK protein or a gene encoding
the same as a biomarker for predicting the prognosis of radiation therapy in a cancer
patient.
[0026] In addition, the present invention provides a use of an agent capable of measuring
the expression level of PMVK for predicting the prognosis of radiation therapy in
a cancer patient.
[0027] In addition, the present invention provides a use of a PMVK protein expression or
activity inhibitor to manufacture a medicament for enhancing the radiation sensitivity
to cancer cells.
[Advantageous Effects]
[0028] The present invention relates to a biomarker composition for diagnosing radiation-resistant
cancer or a biomarker composition the prognosis of radiation therapy, comprising a
phosphomevalonate kinase (PMVK) protein or a gene encoding the same as an active ingredient,
and has identified the PMVK gene that can enhance the sensitivity of radiation in
A549 cells which are a human lung cancer cell, established stable cell lines for A549
cells and pancreatic cancer cells Miapaca-2 cells using shRNA, and verified the increased
effect of enhancing radiation sensitivity through cell and animal experiments, and
further the contribution of the over-expression of PMVK to radiation resistance through
clinical data analysis. Thus, since PMVK can be used as a therapeutic target gene
for overcoming radiation resistance in human lung and pancreatic cancer, gene therapy
or other drugs that increase the sensitivity of radiation to target PMVK can be developed
to increase the effect of the radiation therapy more and more.
[Description of Drawings]
[0029]
FIG. 1 shows results of confirming the radiation sensitivity enhancing gene PMVK through
human kinase siRNA library screening in one example of the present invention (A: a
result of confirming radiation sensitivity enhancing gene PMVK by screening of human
lung kinase siRNA library in A549 human lung cancer cell line, B: a result of confirming
cell viability reduction upon the inhibition of PMVK protein expression by PMVK siRNA
and radiation treatment).
FIG. 2 shows results of constructing a PMVK shRNA stable cell line, and treating the
constructed cells with radiation to perform colony formation survival assay in one
example of the present invention (A: a result of confirming the PMVK protein expression
inhibitory effect in A549/shPMVK stable cell line, B: a result of confirming the effect
of radiation on colony formation in A549/shPMVK stable cell line, C: a result of confirming
the PMVK protein expression inhibitory effect in Miapaca-2/shPMVK stable cell line,
D: a result of confirming the effect of radiation on colony formation in Miapaca-2/shPMVK
stable cell line).
FIG. 3 shows a result of the evaluating the efficacy against the radiation of A549/shPMVK
cell transplant mouse model in one example of the present invention (A: comparison
of cancer growth by volume, B: comparison of weight of mouse, C: comparison of the
size of the extracted cancer, D: comparison of the weight of the extracted cancer).
FIG. 4 shows results of clinical genomic data analysis according to PMVK expression
during radiation treatment to a lung cancer patient group in one example of the present
invention.
FIG. 5 shows the results of evaluating the efficacy against the radiation in a Miapaca-2/shPMVK
cell transplant mouse model in one example of the present invention.
[Best Mode]
[0030] Hereinafter, the present invention will be described in more detail.
[0031] The present invention provides a biomarker composition for diagnosing radiation-resistant
cancer comprising a phosphomevalonate kinase (PMVK) protein or a gene encoding the
same as an active ingredient.
[0032] Preferably, the biomarker composition may further comprise a conventionally known
radiation-resistant biomarker, and the conventionally known radiation-resistant biomarkers
include CD133, CD144 and CD24, but they are not limited thereto.
[0033] As used herein, the term "diagnosis" includes determining the susceptibility of an
object to a particular disease or disorder, determining whether an object currently
has a particular disease or disorder, determining the prognosis of the object having
has a particular disease or disorder, or therametrics (e.g., monitoring the status
of the object to provide information regarding the therapeutic efficacy).
[0034] Also, the present invention provides a composition for diagnosing radiation-resistant
cancer comprising an agent capable of measuring the expression level of PMVK as an
active ingredient.
[0035] Specifically, the agent capable of measuring expression level of PMVK may be a primer
or a probe specifically binding to the PMVK gene, an antibody, a peptide, an aptamer
or a compound specifically binding to the PMVK protein, but it is not limited thereto.
[0036] The cancer may be lung cancer or pancreatic cancer, but it is not limited thereto.
[0037] In addition, the present invention provides a kit for diagnosing radiation-resistant
cancer comprising the composition.
[0038] Furthermore, the present invention provides a biomarker composition for predicting
the prognosis of radiation therapy in a cancer patient comprising a phosphomevalonate
kinase (PMVK) protein or a gene encoding the same as an active ingredient.
[0039] As used herein, the term "prognosis prediction" refers to an act of predicting the
course and result of a disease beforehand. More specifically, the course of the disease
after treatment may vary depending on the physiological or environmental condition
of the patient, and it can be interpreted as meaning all the actions that predict
the course of the disease after treatment considering the condition of the patient
as a whole.
[0040] For the purpose of the present invention, the prognosis prediction can be interpreted
as predicting the disease-free survival rate or the survival rate of the cancer patient
by predicting the course of the disease and the complete treatment after the radiation
therapy of a cancer patient. For example, predicting a "good prognosis" indicates
a high level of disease-free survival or survival rate in cancer patients after radiation
therapy, which implies that cancer patients are more likely to be treated, and the
prediction of "poor prognosis" indicates a low level of disease-free survival or survival
rate in cancer patients after radiation therapy, which implies that the cancer is
likely to recur from cancer patients or the patients is likely to die due to cancer.
[0041] In addition, the present invention provides a composition for predicting the prognosis
of radiation therapy in a cancer patient comprising an agent capable of measuring
the expression level of PMVK as an active ingredient.
[0042] At this time, the agent capable of measuring expression level of PMVK may be a primer
or a probe specifically binding to the PMVK gene, an antibody, a peptide, an aptamer
or a compound specifically binding to the PMVK protein.
[0043] The cancer may be lung cancer or pancreatic cancer, but it is not limited thereto.
[0044] In addition, the present invention provides a kit for predicting the prognosis of
radiation therapy in a cancer patient comprising the composition.
[0045] As used herein, the term "primer" refers to a nucleic acid sequence having a short
free 3'-hydroxyl group, which can form base pairs with a complementary template, and
short nucleic acid serving as a starting point for template strand replication. The
primers can initiate DNA synthesis in the presence of reagents for polymerization
(i.e., DNA polymerase or reverse transcriptase) and four different nucleoside triphosphates
under appropriate buffer solutions and temperatures. The PCR conditions and the lengths
of the sense and antisense primers can be appropriately selected according to techniques
known in the art.
[0046] As used herein, the term "probe" refers to a nucleic acid fragment such as RNA or
DNA corresponding to a few base or several hundreds of bases that can specifically
bind to an mRNA and the presence or absence of a specific mRNA, expression level can
be confirmed by labeling. The probe may be prepared in the form of an oligonucleotide
probe, a single strand DNA probe, a double strand DNA probe, or an RNA probe. The
selection of suitable probes and hybridization conditions can be appropriately selected
according to techniques known in the art.
[0047] As used herein, the term "antibody" is well known in the art and means a specific
immunoglobulin as directed against an antigenic site. An antibody in the present invention
means an antibody which specifically binds to PMVK of the present invention, and an
antibody can be produced according to a conventional method in the art. The form of
the antibody includes polyclonal or monoclonal antibodies, including all immunoglobulin
antibodies. The antibody refers to a complete form having two full-length light chains
and two full-length heavy chains. The antibody also includes a special antibody such
as a humanized antibody.
[0048] As used herein, the term "peptide" has a high binding capacity to a target material
and does not cause denaturation during thermal/chemical treatment. Also, because of
its small size, it can be used as a fusion protein by attaching it to other proteins.
It can be used as a diagnostic kit and a drug delivery material because it can be
specifically attached to a polymer protein chain.
[0049] As used herein, the term "aptamer" refers to a polynucleotide composed of a specific
type of single-stranded nucleic acid (DNA, RNA or modified nucleic acid) having a
stable tertiary structure by itself and having the property for capable of binding
to a target molecule with high affinity and specificity. As described above, since
the aptamer is composed of a polynucleotide which can specifically bind to an antigenic
substance like an antibody and is more stable than the protein, has a simple structure,
and is easy to synthesize and thus can be used instead of an antibody.
[0050] In addition, the kit of the present invention may include an antibody specifically
binding to a marker component, a secondary antibody conjugate conjugated with a marker
that develops color by reaction with a substrate
a secondary antibody conjugate conjugated with a marker to be colored by reaction
with a substrate, a chromogenic substrate solution to develop color reaction with
the marker, a washing solution and an enzymatic reaction stop solution a substrate
solution to develop a color to react with a marker, washing solution, and It may include
an enzyme reaction stop solution, etc., and may be manufactured in a number of separate
packaging or compartments containing reagent components used.
[0051] In addition, the present invention provides a pharmaceutical composition for enhancing
radiation sensitivity to cancer cells comprising a phosphomevalonate kinase (PMVK)
protein expression or activity inhibitor as an active ingredient.
[0052] Specifically, the PMVK expression inhibitor may be any one selected from the group
consisting of antisense nucleotides, small interfering RNA (siRNA) and short hairpin
RNA (shRNA) that complementarily bind to mRNA of the PMVK gene, and the PMVK activity
inhibitor may be any one selected from the group consisting of low molecular compounds,
peptides, peptide mimetics, aptamers, antibodies and natural products that specifically
bind to the PMVK protein, but it is not limited thereto.
[0053] In this case, the cancer cells may be lung cancer cells or pancreatic cancer cells.
[0054] The pharmaceutical composition of the present invention may contain a chemical substance,
a nucleotide, an antisense, a siRNA oligonucleotide and a natural product extract
as an active ingredient. The pharmaceutical composition or combination preparation
of the present invention may be prepared by using pharmaceutically acceptable and
physiologically acceptable adjuvants in addition to the active ingredients, and examples
of the adjuvants include solubilizers such as excipients, disintegrants, sweeteners,
binders, coating agents, swelling agents, lubricants, slip modifiers or flavors. The
pharmaceutical composition of the present invention may be formulated into a pharmaceutical
composition containing at least one pharmaceutically acceptable carrier in addition
to the active ingredient for administration. Acceptable pharmaceutical carriers for
compositions which are formulated into liquid solutions include sterile saline, sterile
water, Ringer's solution, buffered saline, albumin injection solution, dextrose solution,
maltodextrin solution, glycerol, ethanol and its mixture of at least one, which is
suitable for sterilization and in vivo, and if necessary, other conventional additives
such as an antioxidant, a buffer and a bacteriostatic agent may be added. In addition,
diluents, dispersants, surfactants, binders, and lubricants can be additionally added
to formulate into injectable solutions such as aqueous solutions, suspensions, emulsions
and the like, pills, capsules, granules or tablets.
[0055] The pharmaceutical preparation form of the pharmaceutical composition of the present
invention may be granules, powders, coated tablets, tablets, capsules, suppositories,
syrups, juices, suspensions, emulsions, drips or injectable liquids and a sustained
release formulation of the active compound, and the like. The pharmaceutical compositions
of the present invention may be administered in a conventional manner via Intravenous,
intraarterial, intraperitoneal, intramuscular, intraarterial, intraperitoneal, intrasternal,
percutaneous, nasal, inhaled, topical, rectal, oral, intraocular or intradermal routes.
The effective amount of the active ingredient of the pharmaceutical composition of
the present invention means the amount required for preventing or treating the disease.
Accordingly, the present invention can be adjusted according to various factors such
as the particular type of the disease, the severity of the disease, the kind and amount
of the active ingredient and other ingredients contained in the composition, the type
of formulation and the patient's age, body weight, general health status, sex and
diet, time of administration, route of administration and secretion rate of the composition,
duration of treatment, concurrent medication, and the like. It is not limited thereto,
but for example, in the case of an adult, when administered once to several times
a day, the composition of the present invention may be administered at a dose of 0.1
ng/kg to 10 g/kg of compound, 0.1 ng/kg to 10 g/kg of In polypeptide, protein or antibody,
0.01 ng/kg to 10 g/kg of antisense nucleotide, siRNA, shRNAi and miRNA.
[0056] Moreover, the present invention provides a method of providing information necessary
for diagnosing radiation-resistant cancer, the method comprises: (1) measuring mRNA
expression level of PMVK gene or expression level of PMVK protein from a sample isolated
from a cancer patient; (2) comparing the mRNA expression level of the PMVK gene or
the expression level of the PMVK protein with a control sample; and (3) determining
that it is radiation-resistant cancer when the mRNA expression level of the PMVK gene
or the expression level of the PMVK protein is higher than that of the control sample.
[0057] In addition, the present invention provides a method of providing information necessary
for predicting prognosis of radiation therapy in a cancer patient, the method comprises:
(1) measuring mRNA expression level of PMVK gene or expression level of PMVK protein
from a sample isolated from a cancer patient; (2) comparing the mRNA expression level
of the PMVK gene or the expression level of the PMVK protein with a control sample;
and (3) determining that the prognosis of radiation therapy is poor when the mRNA
expression level of the PMVK gene or the expression level of the PMVK protein is higher
than that of the control sample.
[0058] At this time, the cancer may be lung cancer or pancreatic cancer, but it is not limited
thereto.
[0059] As used herein, the term "sample isolated from a cancer patient" includes a sample
such as tissue, cell, whole blood, serum, plasma, saliva, sputum, cerebrospinal fluid,
or urine, which is different from the control group in the expression level of the
PMVK gene or the PMVK protein, a biomarker for diagnosing radiation-resistant cancer,
but it is not limited thereto.
[0060] Specifically, the method of measuring the mRNA expression level may be RT-PCR, competitive
RT-PCR, real-time RT-PCR, RNase protection assay, Northern blotting and DNA chips,
but it is not limited thereto.
[0061] Specifically, the method of measuring the protein expression level may be Western
blot, enzyme linked immunosorbent assay (ELISA), radioimmunoassay (RIA), radioimmunodiffusion,
Ouchterlony immunodiffusion, rocket, immunoelectrophoresis, tissue immunostaining,
immunoprecipitation assays, complement fixation assays, FACS and protein chips, but
it is not limited thereto.
[0062] In the present invention, the term "radiation-resistant cancer diagnosis" is intended
to confirm whether cancer cells are resistant or susceptible to radiation, for predicting
radiation therapy strategy and radiation therapy effect in cancer patients.
[0063] In addition, the present invention provides a method of screening a radiation sensitivity
enhancer for cancer cells, the method comprises: (1) contacting a cancer cell with
a test substance; (2) measuring expression or activity level of a PMVK protein in
the cancer cells contacted with the test substance; and (3) selecting a test substance
having a reduced expression or activity level of the PMVK protein compared to a control
sample.
[0064] The term "test substance" used in referring to the screening method of the present
invention means an unknown candidate substance used in screening to examine whether
it affects the expression amount of a gene or the expression or activity of a protein.
The samples include chemicals, nucleotides, antisense-RNA, siRNA (small interference
RNA) and natural extracts, but it is not limited thereto.
[0065] In addition, the present invention provides a use of a PMVK protein or a gene encoding
the same as a biomarker for diagnosing radiation-resistant cancer.
[0066] In addition, the present invention provides a use of an agent capable of measuring
the expression level of PMVK for diagnosing radiation-resistant cancer.
[0067] In addition, the present invention provides a use of a PMVK protein or a gene encoding
the same as a biomarker for predicting the prognosis of radiation therapy in a cancer
patient.
[0068] In addition, the present invention provides a use of an agent capable of measuring
the expression level of a PMVK protein for predicting the prognosis of radiation therapy
in a cancer patient.
[0069] In addition, the present invention provides a use of a PMVK protein expression or
activity inhibitor to manufacture a medicament for enhancing radiation sensitivity
to cancer cells.
[0070] Hereinafter, the present invention will be described in detail with reference to
the following examples. It will be apparent to those skilled in the art that the following
examples are intended to illustrate the contents of the present invention, but the
scope of the present invention is not limited to the following examples.
<Example 1> Confirmation of radiation sensitivity enhancing gene PMVK through screening
of human kinases siRNA library
1. Experimental method
[0071] Three screenings of genes that enhance sensitivity to radiation using Dharmacon siGENOME®
SMARTpool® siRNA library (718 human protein kinase: G-003505) in A549 human lung cancer
cells (purchased from ATCC) were performed.
[0072] Specifically, 0.5 µl of Lipofectamine® RNAiMAX Reagent (Invitrogen: 13778-150) was
added to a 96-well plate in which siRNA was present at a concentration of 50 nM each,
and A549 cells were seeded at 0.3×10
4 cells and incubated for 24 hours. The cultured cells were treated with 8 Gy of radiation
using a 6-MV photon beam linear accelerator. On the 9th day after radiation treatment,
the cell viability was analyzed three times through the CCK-8 assay and as a result,
information was obtained that the PMVK gene is a candidate gene related to sensitivity
to radiation. In addition, whether the protein is knocked down or not by Dharmacon
siGENOME® SMARTpool® human PMVK siRNA present in the siRNA library (Target Sequences:
UUUAUCCGCUCCAGACUUU (SEQ ID NO: 1), CGAGAACCAUGGAGUUGAA (SEQ ID NO: 2), AAUGUGGCCUGGACAACUU
(SEQ ID NO: 3), GGUGAGUGACACGAGA); Cat # M-006782-01) was confirmed by performing
Western blotting using PMVK antibody after that 1 µl of Lipofectamine® RNAiMAX Reagent
(Invitrogen: 13778-150) was added to a 24 well plate containing PMVK siRNA at a concentration
of 50 nM and A549 cells were seeded at 3×10
4 cells, incubated for 24 hours and protein was extracted from one well. After the
remaining 24 wells were treated with 5 Gy and 10 Gy of radiation, CCK-8 assay was
performed to confirm the survival rate of the cells.
2. Experimental results
[0073] As a result, as shown in FIG. 1A, it was observed that the cell survival rate was
significantly reduced when the radiation was treated after transfection of PMVK siRNA
than when siScramble (control, target sequences): UGGUUUACAUGUCGACUAA (SEQ ID NO:
5), UGGUUUACAUGUUGUGUGA (SEQ ID NO: 6)), UGGUUUACAUGUUUUCUGA (SEQ ID NO: 7), UGGUUUACAUGUUUUCCUA
(SEQ ID NO: 8); Dharmacon, Non-Targeting pool, Cat # D-001810-10-20) were treated
with radiation.
[0074] In addition, as shown in FIG. 1B, as a result of Western blotting, it was confirmed
that the protein was knocked down by PMVK siRNA, and it was confirmed once again that
the survival rate of the cell was decreased during radiation treatment.
[0075] Therefore, based on these results, it was determined that the reduction of PMVK expression
would be involved in the enhancement of radiation sensitivity.
<Example 2> PMVK shRNA stable cell line construction and colony formation survival
analysis
1. Experimental method
[0076] For stable knock-down of PMVK, PMVK shRNA stable cell lines were constructed in A549
(lung cancer) and Miapaca-2 (pancreatic cancer; purchased from ATCC) cells. Specifically,
Dharmacon PMVK shRNA (Clone ID: V3LHS_350080, mature antisense: TCTGACTCAGCATCGTCCA;
SEQ ID NO: 9) was transfected to A549 cells and Miapaca-2 cells by FuGENE® transfection
reagent (Roche: REF 04 709 713 001), then 4 µg/ml of puromycin was selected for 15
days to construct A549/shPMVK cells (2 clones; A549/shPMVK#1 and A549/shPMVK#3) and
Miapaca-2/The shPMVK cell line (3 clones; Mia/shPMVK#1, Mia/shPMVK#2, Mia/shPMVK#3)
and the expression level of PMVK protein was confirmed through Western blotting.
[0077] In addition, in order to examine whether the A549/shPMVK stable cell line and the
Miapaca-2/shPMVK stable cell line constructed as described above enhance the sensitivity
of radiation, a cell colony forming assay was performed after treatment with radiation
to both cell lines. That is, after seeding 200 or 2000 cells in a 6-well plate, radiation
was treated with 0, 2, 4, 5, 8, and 10 Gy and it was quantitatively analyzed by staining
colonies with 20% methanol and 0.5% crystal violet after 7 to 14 days and counting
the number.
2. Experimental results
[0078] As a result, as shown in FIG. 2A and FIG. 2C, compared to the parent cell (A549,
Miapaca-2) and non-silencing control (A549/NS, Miapaca-2/NS), it was confirmed that
the PMVK protein expression was significantly reduced in the newly constructed A549/shPMVK
stable cell line and Miapaca-2/shPMVK stable cell line.
[0079] In addition, as shown in FIG. 2B and FIG. 2D, as a result of the cell colony formation
survival assay for the A549/shPMVK stable cell line and the Miapaca-2/shPMVK stable
cell line constructed as described above, it was found that the colony formation was
significantly reduced.
<Example 3> Evaluation of efficacy against radiation in A549/shPMVK cell transplant
mouse model
1. Experimental method
[0080] For
in vivo experiments, cancer tissues were formed by transplanting 1×10
6 of A549, A549/NS, A549/shPMVK#1 (stable A549 cell line transfected with shRNA of
SEQ ID NO: 9) and A549/shPMVK#3 (stable A549 cell line transfected with shRNA of SEQ
ID NO: 9) transfected with shRNA of 1) cells to the right calf of the nude mouse,
respectively. Thereafter, 5 Gy of radiation was irradiated twice every two days, and
the change of the cancer growth was observed for 30 days by measuring the size using
a caliper 3 times a week and at the same time, the body weight of the mouse was also
measured and cancer tissues were extracted on Day 30 to check size and weight. At
this time, the cancer size was calculated as described in <Equation 1> below.

2. Experimental results
[0081] As a result, as shown in FIG. 3, it was confirmed that cancer growth was significantly
inhibited when the radiation was treated with A549/shPMVK#1 and #3 than that of A549
or A549/NS with radiation (FIG. 3A and FIG. 3C), where no change in body weight was
observed in the mouse (FIG. 3B). It was confirmed that even when cancer weight was
measured by extracting cancer tissue from all mice at the end of the experiment, the
weight of cancer tissue treated with radiation in A549/shPMVK#1 and # 3 was the lowest
(FIG. 3D).
<Example 4> Clinical genome data analysis
1. Experimental method
[0082] To investigate the relationship between PMVK expression and survival in patients,
the survival rate was investigated through analysis of previously reported genome
data for lung cancer patients (GSE68465; NCBI. GEO, n=442). After dividing into the
radiation treated patient group (n=65) and the non-radiated patient group (n=364),
the patient survival rate was investigated according to the expression of PMVK.
2. Experimental results
[0083] As a result, as shown in FIG. 4, it was found that in the radiation-treated patient
group, the survival rate was poor in the patient group with high expression of PMVK,
while the patient's survival rate was improved as a result of radiation treatment
in the patient group with low expression of PMVK. However, it was confirmed that the
patient group without radiation treatment did not affect the survival rate regardless
of whether PMVK was expressed or not.
[0084] Through these results, it was confirmed that the expression of PMVK and the survival
rate of the patient during radiation treatment are closely related, and that the inhibition
of PMVK can help improve the survival rate of the patient during radiation treatment.
<Example 5> Efficacy evaluation against radiation in Miapaca-2/shPMVK cell transplant
mouse model
1. Experimental method
[0085] For
in vivo experiments, cancer tissues were formed by transplanting 2×10
6 of Miapaca-2, Miapaca-2/NS, Miapaca-2/shPMVK#2 (stable Miapaca-2 cell line transfected
with shRNA of SEQ ID NO: 9) and Miapaca-2/shPMVK#3 (stable Miapaca-2 cell line transfected
with shRNA of SEQ ID NO: 9) transfected with shRNA of 1) cells to the right calf of
the nude mouse, respectively. Thereafter, 2 Gy of radiation was irradiated three times
every two days, and the change of the cancer growth was observed for 30 days by measuring
the size using a caliper 3 times a week and at the same time, the body weight of the
mouse was also measured. At this time, the cancer size was calculated as described
in <Equation 1> below.

2. Experimental results
[0086] As a result, as shown in FIG. 5, it was confirmed that the cancer growth was significantly
inhibited when the radiation was treated with Miapaca-2/shPMVK#2 and #3 than that
when the radiation was treated with Miapaca-2 or Miapaca-2/NS. (FIGT. 5A), at this
time, no change was exhibited in body weight of the mouse (FIG. 5B).
1. A biomarker composition for diagnosing radiation-resistant cancer comprising a phosphomevalonate
kinase (PMVK) protein or a gene encoding the same as an active ingredient.
2. The biomarker composition for diagnosing radiation-resistant cancer of claim 1, wherein
the cancer is lung cancer or pancreatic cancer.
3. A composition for diagnosing radiation-resistant cancer comprising an agent capable
of measuring expression level of PMVK as an active ingredient.
4. The composition for diagnosing radiation-resistant cancer of claim 3, wherein the
agent capable of measuring expression level of PMVK is a primer or a probe specifically
binding to a PMVK gene, an antibody, a peptide, an aptamer or a compound specifically
binding to the PMVK protein.
5. The composition for diagnosing radiation-resistant cancer of claim 3, wherein the
cancer is lung cancer or pancreatic cancer.
6. A kit for diagnosing radiation-resistant cancer comprising the composition of any
one of claims 3 to 5.
7. A biomarker composition for predicting prognosis of radiation therapy in a cancer
patient comprising a phosphomevalonate kinase (PMVK) protein or a gene encoding the
same as an active ingredient.
8. The biomarker composition for predicting prognosis of radiation therapy in a cancer
patient of claim 7, wherein the cancer is lung cancer or pancreatic cancer.
9. A composition for predicting prognosis of radiation therapy in a cancer patient comprising
an agent capable of measuring expression level of PMVK as an active ingredient.
10. The composition for predicting prognosis of radiation therapy in a cancer patient
of claim 9, wherein the agent capable of measuring expression level of PMVK is a primer
or a probe specifically binding to a PMVK gene, an antibody, a peptide, an aptamer
or a compound specifically binding to the PMVK protein.
11. The composition for predicting prognosis of radiation therapy in a cancer patient
of claim 9, wherein the cancer is lung cancer or pancreatic cancer.
12. A kit for predicting prognosis of radiation therapy in a cancer patient comprising
the composition of any one of claims 9 to 11.
13. A pharmaceutical composition for enhancing radiation sensitivity to cancer cells comprising
a phosphomevalonate kinase (PMVK) protein expression inhibitor or activity inhibitor
as an active ingredient.
14. The pharmaceutical composition for enhancing radiation sensitivity to cancer cells
of claim 13, wherein the PMVK protein expression inhibitor is any one selected from
the group consisting of antisense nucleotides, small interfering RNA (siRNA) and short
hairpin RNA (shRNA), that complementarily bind to mRNA of a PMVK gene.
15. The pharmaceutical composition for enhancing radiation sensitivity to cancer cells
of claim 13, wherein the PMVK protein activity inhibitor is any one selected from
the group consisting of low molecular compounds, peptides, peptide mimetics, aptamers,
antibodies and natural products, that specifically bind to the PMVK protein.
16. The pharmaceutical composition for enhancing radiation sensitivity to cancer cells
of any one of claims 13 to 15, wherein the cancer cells are lung cancer cells or pancreatic
cancer cells.
17. A method of providing information necessary for diagnosing radiation-resistant cancer,
the method comprises:
(1) measuring mRNA expression level of a PMVK gene or expression level of a PMVK protein
from a sample isolated from a cancer patient;
(2) comparing the mRNA expression level of the PMVK gene or the expression level of
the PMVK protein with a control sample; and
(3) determining that it is radiation-resistant cancer when the mRNA expression level
of the PMVK gene or the expression level of the PMVK protein is higher than that of
the control sample.
18. A method of providing information necessary for predicting prognosis of radiation
therapy in a cancer patient, the method comprises:
(1) measuring mRNA expression level of a PMVK gene or expression level of a PMVK protein
from a sample isolated from a cancer patient;
(2) comparing the mRNA expression level of the PMVK gene or the expression level of
the PMVK protein with a control sample; and
(3) determining that the prognosis of radiation therapy is poor when the mRNA expression
level of the PMVK gene or the expression level of the PMVK protein is higher than
that of the control sample.
19. A method of screening a radiation sensitivity enhancer for cancer cells, the method
comprises:
(1) contacting a cancer cell with a test substance;
(2) measuring expression or activity level of a PMVK protein in the cancer cells contacted
with the test substance; and
(3) selecting a test substance having a reduced expression or activity level of the
PMVK protein compared to a control sample.
20. A use of a PMVK protein or a gene encoding the same as a biomarker for diagnosing
radiation-resistant cancer.
21. A use of an agent capable of measuring expression level of a PMVK for diagnosing radiation-resistant
cancer.
22. A use of a PMVK protein or a gene encoding the same as a biomarker for predicting
prognosis of radiation therapy in a cancer patient.
23. A use of an agent capable of measuring expression level of a PMVK protein for predicting
prognosis of radiation therapy in a cancer patient.
24. A use of a PMVK protein expression inhibitor or activity inhibitor for preparing a
medicament for enhancing radiation sensitivity to cancer cells.